| NPI | 1184865487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F0216140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN340431) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2016-05-30 |